Evidence map›Paper›PMID 35195932›Full record

Trial reportNephrology (Carlton, Vic.)2022

A pilot study comparing the efficiency of a novel asymmetric cellulose triacetate (ATA) dialyser membrane (Solacea-190H) to a standard high flux polysulfone dialyser membrane (FX-80) in the setting of extended hours haemodialysis.

Kamya Kameshwar, Matthew J Damasiewicz, Kevan R Polkinghorne, Peter G Kerr

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nephrology (Carlton, Vic.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kamya KameshwarDepartment of Nephrology, Monash Health, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-1349-4826
Matthew J DamasiewiczDepartment of Nephrology, Monash Health, Clayton, Victoria, Australia.
Kevan R PolkinghorneDepartment of Nephrology, Monash Health, Clayton, Victoria, Australia.
Peter G KerrDepartment of Nephrology, Monash Health, Clayton, Victoria, Australia.
Monash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare small, middle and large-middle molecule clearance; and expression of markers of inflammation, between Solacea-190H (asymmetric cellulose triacetate [ATA]) and FX-80 dialysers in long-hour haemodialysis patients.

methodsThis pilot, randomized cross-over trial recruited 10 home haemodialysis patients. The total study duration was 8 weeks, using each dialyser for 4 weeks. Removal of small (urea, phosphate, creatinine and indoxyl sulfate [IS]), middle and large-middle molecules (beta-2 microglobulin [β2M], albumin), markers of inflammation (interleukin-6 [IL-6], malondialdehyde-modified low density lipoprotein [MDA-LDL] and alpha-1 microglobulin [α1M]), was evaluated in serum and dialysate samples.

resultsReduction ratios [RR] were calculated for variables at the fourth week of each dialyzer sequence and results expressed as difference in mean RR between dialyzers. There was no difference in clearance of small molecules, with difference in mean RR for urea -2.43 (95% CI -6.44, 1.57; p = .19), creatinine -1.82 (95% CI -5.50, 1.85; p = .28) and phosphate -2.61 (95% CI -12.45, 7.23; p = .55); clearance of middle and large-middle molecules with difference in mean RR (range) for β2M 2.2 (95% CI -3.2, 7.7; p = .35), IS 1.8 (95% CI -9.5, 13; p = .72) and albumin -0.6 (95% CI -5.5, 4.2; p = .77). There was lack of induction of markers of inflammation, including IL-6 15.2 (95% CI -31.9, 62.2; p = .47), MDA-LDL -8.1 (95% CI -22.1, 5.8; p = .21) and α1M -3.50 (95% CI -29.2, 22.2; p = .76). Dialysate removal results were concurrent.

conclusionThis study showed no difference in clearance of small, middle and large-middle molecules, nor expression of markers of inflammation between dialysers.

Indexed as

Interleukin-6Membranes, ArtificialAlbuminsbeta 2-MicroglobulinCelluloseCreatinineDialysis SolutionsFluorocarbonsFuransHumansInflammationPhosphatesPilot ProjectsPolymersRenal DialysisSulfonesAlbuminsbeta 2-MicroglobulinCellulosecellulose triacetateCreatinineDialysis SolutionsFluorocarbonsFuransInterleukin-6Membranes, Artificialperfluorobutyl tetrahydrofuranPhosphatesPolymerspolysulfone P 1700SulfonesUreabiocompatibilitycellulose triacetatehaeomodialysisinflammationuraemic toxins

Identifiers

PMID35195932
PMCPMC9314010
OpenAlexW4212961626

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.